Jezewski M A, Scherer Y, Miller C, Battista E
State University of New York, School of Nursing, Buffalo 14214.
Am J Crit Care. 1993 Jul;2(4):302-9.
To investigate the process of consenting to do-not-resuscitate status from the perspective of critical care nurses who have been involved with patients and/or family members during their decision.
A network sample of 22 critical care nurses, with at least 1 year's experience in a critical care unit and self-reported multiple experiences with the do-not-resuscitate consent process, participated in the study. Semistructured, formal interviews were used to collect data. All interviews were tape recorded and transcribed verbatim. The grounded theory method was used to collect and analyze data.
The analysis revealed a core category: consenting to do-not-resuscitate status. Integrated into the process were intervening conditions that further explained the process: the meaning of "do not resuscitate," the importance of time/timing in the process, the nurse's role and conflict issues that arose during the process of consenting to do-not-resuscitate status.
The theoretical model developed in this study provides a framework to describe the role of critical care nurses in the do-not-resuscitate process. In addition, a description of the categories provides information for nurses, especially novice nurses, to consider when caring for patients and families who are in the process of making decisions concerning resuscitation.
从在患者和/或其家庭成员做出决定期间与其有过接触的重症监护护士的角度，调查同意放弃心肺复苏状态的过程。
采用网络抽样法，选取了22名重症监护护士，她们在重症监护病房至少有1年工作经验，且自称多次参与过放弃心肺复苏同意过程。采用半结构化的正式访谈收集数据。所有访谈均进行录音并逐字转录。运用扎根理论方法收集和分析数据。
分析揭示了一个核心类别：同意放弃心肺复苏状态。融入该过程的还有干预条件，这些条件进一步解释了该过程：“不进行心肺复苏”的含义、过程中时间/时机的重要性、护士的角色以及在同意放弃心肺复苏状态过程中出现的冲突问题。
本研究中建立的理论模型提供了一个框架，用于描述重症监护护士在放弃心肺复苏过程中的作用。此外，对这些类别的描述为护士，尤其是新手护士，在护理正在做出关于复苏决定的患者及其家属时提供了可参考的信息。
